Evidence map›Paper›PMID 34272605›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021

Sacroiliac joint dysfunction: pathophysiology, diagnosis, and treatment.

Ariella Gartenberg, Adam Nessim, Woojin Cho

3 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 43 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06687148 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Global Changes Associated With Sacroiliac Joint Dysfunction and Its Reversal by Manipulation - Pilot Study

TypeinterventionalSponsorAveiro UniversityRan2025 to 2025Enrolled21ConditionsSacroiliac DysfunctionArmsManual manipulation, Sham manipulation
NCT06755125 nacompletednot on this mapstarted 2025, after this paper: background citation

Effects of KinesioTaping Versus Dry Needling in the Treatment of Sacroiliac Joint Pain Among Females.

TypeinterventionalSponsorSehat Medical ComplexRan2025 to 2025Enrolled88ConditionsSacroiliac Joint PainArmsKinesio Taping, Dry Needling
NCT07058480 nacompletednot on this mapstarted 2024, after this paper: background citation

Combined Muscle Energy Technique and Myofascial Chain Stabilization Reduces Menstrual Pain and Improves Pelvic Alignment in Women With Primary Dysmenorrhea: A Prospective Study

TypeinterventionalSponsorShanjiao LuoRan2024 to 2025Enrolled30ConditionsPrimary Dysmenorrhea (PD)ArmsCombined MET and MFC-Based Pelvic Stabilization Training, Interferential current therapy (ICT), Deep Friction Massage (DFM)
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Guideline
  2. Management of sacroiliac joint pain: current concepts.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Pooled it
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  4. Interventional treatments for low back pain due to sacroiliac joint dysfunction: a systematic review of the literature.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Pooled it
  5. Pooled it
  6. Review
  7. Radiographic signs of implant loosening in sacroiliac joint fusion: an 11-year retrospective cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ariella GartenbergDepartment of Orthopedic Surgery, Albert Einstein College of Medicine/ Montefiore Medical Center, 3400 Bainbridge Ave, 6th Floor, Bronx, NY, 10467, USA.
Adam NessimDepartment of Orthopedic Surgery, Albert Einstein College of Medicine/ Montefiore Medical Center, 3400 Bainbridge Ave, 6th Floor, Bronx, NY, 10467, USA.
Woojin ChoDepartment of Orthopedic Surgery, Albert Einstein College of Medicine/ Montefiore Medical Center, 3400 Bainbridge Ave, 6th Floor, Bronx, NY, 10467, USA. woojinchomd@aol.com.ORCID 0000-0001-5134-301X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review the anatomy and function of the sacroiliac joint (SIJ), as well as the pathophysiology, clinical presentation, diagnostic criteria, and treatment options for SIJ dysfunction.

methodsThe SIJ serves an extremely crucial function in mobility, stability, and resistance against shear forces. Joint mobility becomes increasingly limited with age-related cartilaginous changes that begin in puberty and continue throughout life. Pain can also be localized to the SIJ itself, known as SIJ dysfunction. A literature review was performed on the anatomy, etiology, risk factors, diagnostic modalities, and treatment options for SIJ dysfunction.

resultsSIJ dysfunction is an under-recognized source of low back pain. Dysfunction can result from various clinical conditions, as well as abnormal motion or malalignment of the joint. Diagnosis and evaluation of SIJ dysfunction are difficult, with use of physical maneuvers and image-guided anesthetic injection. Non-operative treatment options are considered first-line due to high surgical complication rates. Such options include conservative management, radiofrequency treatment, nerve blocks, and articular injections. Surgical management involves open and percutaneous approaches.

conclusionWith the aging nature of the population, SIJ dysfunction has emerged as an extremely prevalent issue. Current research into the pathophysiology and risk factors of SIJ dysfunction is extremely important for planning preventative and therapeutic strategies. Various treatment options exist including conservative management, radiofrequency, nerve blocks, intra-articular or peri-articular injections, and surgical fixation. Improved diagnostic methods in clinical practice are thus critical to properly identify patients suffering from SIJ dysfunction, plan early intervention, and hasten return to function. LEVEL OF EVIDENCE I: Diagnostic: individual cross-sectional studies with the consistently applied reference standard and blinding.

Indexed as

Low Back PainNerve BlockCross-Sectional StudiesHumansInjections, Intra-ArticularSacroiliac JointFixationLow back painSacroiliac jointSIJ dysfunction

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.